Active NPI
Efraim Kessous, MD
- Family Medicine Physician
- Gaithersburg, MD
National Provider Identifier
1699983858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0070798
- Practice address
- 800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150 - Phone
- (301) 208-2273
- Fax
- (240) 252-4222
- NPI assigned
- May 20, 2007
- Last updated
- May 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD040210 | DC | |
| Family Medicine Physician | 207Q00000X | D0070798 | MD | Primary |
Addresses
Primary practice location
800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150
Mailing address
800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4150
Phone (301) 208-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4151
Phone (301) 208-2273
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- efrain.kessous.1@15259.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Montgomery Medical Clinic
- Internal Medicine Physician
- Gaithersburg, MD
- NPI 1447636048
DC
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1699983858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S FREDERICK AVE",
"address_2": "SUITE 110",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774150",
"telephone_number": "301-208-2273",
"fax_number": "240-252-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S FREDERICK AVE",
"address_2": "SUITE 110",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208774150",
"telephone_number": "301-208-2273",
"fax_number": "240-252-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSOUS",
"first_name": "EFRAIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD040210",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0070798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.